Weigand, Sandra and Ehrenstein, Boris and Fleck, Martin and Hartung, Wolfgang (2014) Joint Involvement in Patients with Early Polymyalgia Rheumatica Using High-resolution Ultrasound and Its Contribution to the EULAR/ACR 2012 Classification Criteria for Polymyalgia Rheumatica. JOURNAL OF RHEUMATOLOGY, 41 (4). pp. 730-734. ISSN 0315-162X, 1499-2752
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Objective. To assess joint involvement and the contribution of musculoskeletal ultrasound (MSUS) to the novel European League Against Rheumatism/American College of Rheumatology (EULAR/ACR) 2012 classification criteria in patients with polymyalgia rheumatic (PMR). Methods. MSUS was performed in 54 consecutive patients with recent-onset PMR. Results. Biceps tenosynovitis of at least 1 shoulder has been observed in 70.4% of patients, and 64.8% had a bilateral biceps tenosynovitis. Subdeltoid bursitis (27.8% unilateral, 5.6% bilateral), glenohumeral synovitis (22.2% unilateral, 9.3% bilateral), and hip involvement (22.2% unilateral, 16.7% bilateral) were observed less frequently. The sensitivities of the classification criteria were 85.2% for EULAR/ACR without MSUS and 81.5% for EULAR/ACR with MSUS. Conclusion. The most common MSUS pathology was a biceps tenosynovitis. However, US findings had no effect on the sensitivity of the novel EULAR/ACR criteria for PMR.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | GIANT-CELL ARTERITIS; MANAGEMENT; SYNOVITIS; SHOULDER; POLYMYALGIA RHEUMATICA; VASCULITIS; CLASSIFICATION CRITERIA; ULTRASONOGRAPHY |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 23 Sep 2019 12:51 |
| Last Modified: | 23 Sep 2019 12:51 |
| URI: | https://pred.uni-regensburg.de/id/eprint/10391 |
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